DIA T BACON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041581393

License Status

ACTIVE

Business

First Name

DIA

Middle

Last Name

BACON

Business Name

DIA T BACON

Original Issue Date

02/07/2025

Effective Date

02/07/2025

Expiration Date

05/31/2026

City

AMITYVILLE

State

Zip

11701

Ever Disciplined

LastModifiedDate

03/01/2026